NPI | 1043746225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA11787) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX M7710) |
208000000X Pediatrics (Licence: TX M7710) | |
363A00000X Physician Assistant | |
Enumeration Date | 2017-05-07 |
Last Update Date | 2024-09-17 |